CMS Price Transparency Data

Pneumococcal vaccine

Facility: Memorial Hospital Miramar

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $277
Cash Discount Price: $298
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Memorial Hospital Miramar is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$98 - $141	N/A
Community Care Plan	$134 - $254	N/A
Molina	$136 - $254	N/A
Amerihealth Caritas	$141 - $254	N/A
Avmed	$150 - $360	N/A
Employers Health Network	$158 - $444	N/A
Prime Health Services	$163	N/A
Corvel	$163	N/A
Employers Choice Network	$163	N/A
First Health	$163	N/A
Gallagher Bassett	$163 - $341	N/A
Sunshine	$179	N/A
Cigna	$198 - $259	N/A
UnitedHealthcare	$238 - $240	N/A
Emerging Therapy Solutions	$256	N/A
World Medical Care	$277	N/A
Worldwide Managed Care Partners	$277	N/A
Quality Health Management	$277	N/A
Axis	$277	N/A
Global Health Claims	$277 - $362	N/A
Global Reach Health	$277	N/A
Allianz	$277	N/A
National Healthcare Solutions	$277	N/A
Global Medical Management	$277	N/A
Desjardins Financial Security Life Assurance Company	$277	N/A
Worldwide Medical Assurance	$277	N/A
Star Healthcare Network	$277	N/A
Quebec Inc	$277	N/A
Plotkin	$277	N/A
Dimension Health	$288	N/A
Health Sun	$320	N/A
Broward County	$718 - $2,726	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $298.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90732.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital Miramar is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90732.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.